Achilles Tendinopathies
Achilles Tendinopathies are very common in very active children & adults.
Achilles Tendinopathy diagnosis and managment varies depending on which part of the Achilles Tendon is affected.
Pain may present to the back of the heel, just above where the Achilles attaches to the heel or even above the ankle or even into the lower leg.
Damage to the Achilles is thought to occur when excessive loading, overuse, poor training technique, terrain, footwear and or trauma etc, lead to damage tissues, the achilles can become inflammed, partially torn or even in severe cases can completely rupture.
Onset is usually in mature adults but equally also in those who are more active.
Achilles Tendionapthy Management
To diagnose Achilles Tendinopathy (Tendonitis, Tendionosis, Insertional versus Non-Insertional, Partial tear) requires a detailed exam, often a patient history will confirm the condition, however a thorough Musculoskeletal exam is required to understand why & which form of Achilles Tendinopathy you have developed.
Many factors may lead to overloading of the Achilles, a sudden return to sport, tight posterior leg muscles, overuse, poor training technique, fatigue, previous injuries, foot deformity, footwear, sudden change to training regime.
Achilles Tendionpathies are complex and require a staged approach to recovery as returning too soon to activity may often result in repeat injuries with potentially more debilitating outcomes.
The initial phase often entails immobilisation, rest, ice, compression & elevation to reduce further damage & promote healing whilst combining gentle loading and maintenance of joint range of motion & muscle flexibilty.
The second phase aims to increase the strength of the Achilles with specific stretches and strengthening exercises, footwear is reviewed/replaced & Orthotics are provided if required.
The third phase aims to build on the previous phases and reintroduce exercise but often at a reduced level, over time the level of exercise is increased until a full return to activity is possible.
There is not one simple single solution and a tailored plan is essential, a moonboot, stretching exercises, strapping, footwear, Orthoses, Plantar Fasciitis Night Socks, ankle brace, pain relief, activity modification, dry needling, massage & possibly a steroid injection may be required.
All of which will be discussed with & explained during your assessment